Monthly Archives: November 2016

Thyroid No More Surgery: How to Avoid Another Thyroid Cancer Neck Dissection for Recurrent Lymph Node Disease Background: Thyroid papillary cancer is the most common type.It has as a common feature early spread to neck lymph nodes. It is common...

Hyperthyroidism, Thyrotoxicosis 1. Diagnosis: Clinical presentation and initial biochemical evaluation should make the diagnosis in most cases.However, a case of a patient with no goiter and no apparent eye disease may need more testing.The...

After 10 years of Treatment for Thyroid Cancer Patient Requested a Review to See if it was Benign Backround: 50 Y/O patient was diagnosed 10 years ago with papillary thyroid cancer after an evaluation for goiter. He was mildly hypothyroid and had...

Thyroid No Surgery # 5 How To Avoid Surgery With a Thyroid Follicular Variant of Papillary Thyroid Cancer now a benign tumor: NIFT-P Thyroid No Surgery #5 How To Avoid Surgery With a Thyroid Follicular Variant of Papillary Thyroid...

Thyroid No Surgery # 4 Avoid surgery for thyroid and parathyroid cysts You have known there was a nodule and it was mostly full of fluid for years. You have had your physicians biopsy it and even drain the fluid multiple times. Your local surgeon...

USPSTF Still Recommending Against Routine Thyroid Cancer Screening The U.S. Preventive Services Task Force USPSTF is against routine screening for thyroid cancer. HealthDay News — Clinicians should not screen for thyroid cancer in patients...

Thyroid No Surgery #4 The art of Refusing a Surgery for a Large Symptomatic Solid Thyroid Nodule. You have a thyroid problem you have known for years. It is an enlarging thyroid nodule or multiple nodular goiter. Recently it is giving you neck...

Background: Since the 1990’s ultrasound imaging has become so easy, and inexpensive that every primary care physician sees a source of extra income adding a thyroid ultrasound to the yearly physical examination. Thyroid ultrasound is not...

Resolve symptoms, and return TSH to normal. Grade A Lthyroxine LT4 is the first choice of treatment for all hypothyroid patients. Grade A Treatment TSH target range is 1-3 not the reference range of 0.5-5.0. Elderly over-treatment and with...

Male patient with a desire to avoid surgery with his 200 ml benign nodule elected to try RFA. 2 months post RFA he returned with some improvement in the symptoms but appreaed to him no change in the appearance. View of the neck was...